SYNCHRONY BRAIN HEALTH LLC
NPI 1053900779
Community/Behavioral Health in Evanston, IL

Q: What is Synchrony Brain Health LLC's NPI number?

The NPI number for Synchrony Brain Health LLC is 1053900779. It was assigned to this organization in the NPPES registry on January 16, 2021.

Q: What is Synchrony Brain Health LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since January 16, 2021

1560 SHERMAN AVE # 440, EVANSTON, IL 60201(866) 362-2300(847) 869-1515 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 22, 2023, Jan 16, 2021 (2 updates tracked since 2021).

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About Synchrony Brain Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYNCHRONY BRAIN HEALTH LLC (NPI 1053900779) is a healthcare organization registered as a community/behavioral health in Evanston, Illinois and active in the NPI registry since January 2021. The organization lists Michelle Forrester, Manager, as its authorized official.

NPPES Registry Identity

NPI1053900779

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSYNCHRONY BRAIN HEALTH LLC

Location Address1560 SHERMAN AVE # 440Evanston, IL 60201-4818

Mailing Address1560 Sherman Ave # 440Evanston, IL 60201-4818

Phone(866) 362-2300

Fax(847) 869-1515

Organization SubpartNo

Authorized OfficialMichelle ForresterManager · (973) 740-0023

Enumeration DateJanuary 16, 2021

Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration

NPPES CertifiedAugust 10, 2023

✔ NPI 1053900779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1560 SHERMAN AVE # 440, Evanston, IL 60201

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Synchrony Brain Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Synchrony Brain Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jesse Viner, M.D.

Psychiatry

NPI 1427150960

1560 SHERMAN AVE. SUITE 400
Evanston, IL 60201

(847) 869-1500

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Synchrony Brain Health LLC's NPI number?

The NPI number for Synchrony Brain Health LLC is 1053900779. It was assigned to this organization in the NPPES registry on January 16, 2021.

Where is Synchrony Brain Health LLC located?

Synchrony Brain Health LLC is located at 1560 Sherman Ave # 440, Evanston, IL 60201. The listed phone number is (866) 362-2300.

What is Synchrony Brain Health LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Synchrony Brain Health LLC enrolled in Medicare?

Yes. Synchrony Brain Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Synchrony Brain Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Synchrony Brain Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Synchrony Brain Health LLC was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.